AU2004317395A1 - Aiming device for inserting stable-angle, long screws in the articular region of a bone - Google Patents
Aiming device for inserting stable-angle, long screws in the articular region of a bone Download PDFInfo
- Publication number
- AU2004317395A1 AU2004317395A1 AU2004317395A AU2004317395A AU2004317395A1 AU 2004317395 A1 AU2004317395 A1 AU 2004317395A1 AU 2004317395 A AU2004317395 A AU 2004317395A AU 2004317395 A AU2004317395 A AU 2004317395A AU 2004317395 A1 AU2004317395 A1 AU 2004317395A1
- Authority
- AU
- Australia
- Prior art keywords
- bone
- bush
- screw
- implant
- bow
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 48
- 230000006835 compression Effects 0.000 claims abstract description 7
- 238000007906 compression Methods 0.000 claims abstract description 7
- 238000003780 insertion Methods 0.000 claims abstract description 4
- 230000037431 insertion Effects 0.000 claims abstract description 4
- 239000007943 implant Substances 0.000 claims description 28
- 238000005553 drilling Methods 0.000 claims description 8
- 230000000295 complement effect Effects 0.000 claims description 2
- 238000000034 method Methods 0.000 claims 2
- 230000002085 persistent effect Effects 0.000 claims 1
- 210000002758 humerus Anatomy 0.000 description 9
- 238000010586 diagram Methods 0.000 description 4
- 239000012634 fragment Substances 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 238000013519 translation Methods 0.000 description 2
- 230000002411 adverse Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 238000011369 optimal treatment Methods 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 238000011282 treatment Methods 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
- 239000013585 weight reducing agent Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/062—Measuring instruments not otherwise provided for penetration depth
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Dentistry (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
- Transmission Devices (AREA)
Abstract
The invention relates to an aiming device (100) for boring a hole in a region of a bone (300) that lies in the vicinity of a joint. Said device consists of a U-shaped bow (110) comprising at least one contact element (120) on one end and on the other end of the bow (110) a screw spindle (130) that can be displaced in the direction of, or in the opposite direction to the contact element (120), said spindle comprising a rotary grip (132) for clamping the device (100) on the region in the vicinity of the joint. The device also comprises a bore bushing (140), which can be placed on and removed from the end comprising the contact element (120). The compression of the bone that is generated by the bow (110) is maintained after the removal of the bore bushing (140) for the insertion of the bone screw.
Description
PUBLISHED SPECIFICATION VERIFICATION OF TRANSLATION (insert translator's name) of .... ..9 4 ... 0.-I.). .j.. 9z ................ (translator's address) declare as follows: 1. That I am well acquainted with both the English and German languages, and 2. That the attached document is a true and correct translation made by me to the best of my knowledge and belief of: (a) The specification of International Bureau pamphlet numbered WO 2005/089660 International Application No. PCT/IB2004/00044 1 ( D a t e ) .. ... .. ... .. . . " " "". . ' " " " " " - - - -- --- - -- -. . . . . . (Date) (Signature of Translator) (No witness required) [R:\UbpaljTranslator's Vetification Cert for Published PCT.doC:STL WO 2005/089660 PCT/IB2004/00044 1 1 Aiming device for inserting angle-stable, long screws in the articular region of a bone 5 The invention relates to an aiming device for inserting angle-stable, long screws in the articular region of a bone for optimal treatment of joint fractures with plate/screw systems, using a distal humerus as an example. 10 For example, the patents US-20020032465-Al, US 20030220651-Al, US-4625718, US-4848327 and WO-03041595 Al may be mentioned in relation to the prior art. 15 However, US 2003/0009171 Al will be discussed in particular. This discloses a multiplicity of aids for fitting an elbow prosthesis, in particular an aiming device for drilling the articular region of the bone along its joint axis. This aiming device consists of a 20 bow which is clamped on the articular region by means of a screw spindle. A guide zone for inserting a drill into the articular region along said joint axis is integrated in the screw spindle. The bore which can be produced in this manner serves here for inserting a pin 25 which subsequently permits alignment of the elbow prosthesis and is then removed again. The insertion of a screw is not envisaged in this apparatus. Even if this device disclosed in US 2003/0009171 Al is 30 intended for a completely different purpose, the preparation of bores therewith which is intended by the inventor could in certain circumstances be carried out, WO 2005/089660 PCT/IB2004/000441 2 even if with considerable disadvantages. The known device has no possibility for preventing the risk of penetration into the joint, which is also unimportant in the course of fitting an elbow prosthesis since the 5 joint is removed in any case and is replaced. However, during osteosynthesis, treatment of the bone in as gentle a manner as possible is a precondition. As already mentioned, the placing of the distal screw required in osteosynthesi s after drilling is complete 10 is possible only if the device or at least the screw spindle were to be removed. However, this would eliminate the compression produced by the device for ensuring cohesion of any bone fragments. During the entire course of the operation with this known device, 15 continuous stability is therefore not possible. Finally, the drill would disadvantageously have to have at least the length of the screw spindle and of the desired drilled hole, with the result that increased vibrations may adversely influence the drilling. 20 It is the object of the present invention to eliminate these disadvantages. It should be possible by means of the invention to 25 insert distal screws which are as long as possible through the bone in that region of the articular block which is in the vicinity of the joint, for which purpose the bores are accordingly to be introduced in a targeted manner and without any penetration into the 30 joint, with the result that, after insertion of a screw, optimal fixation in the good bone should be achieved. Any screws opposite to one another should WO 2005/089660 PCT/IB2004/00044 1 3 moreover be capable of being brought past one another as closely as possible in a targeted manner and approximately along an axis without collision. This should be ensured in particular directly during the 5 first attempt in order to protect the bone as far as possible. The compression of the bone fragments of the articular block during the entire duration of the operation is also to be maintained in order thereby to ensure a stable connection and good clinical results. 10 The aiming device according to the invention and according to Claim 1 consists of a bow, optionally having various cut-outs for weight reduction, and achieves the objects set. A preferred embodiment has 15 the following design, a screw spindle which can be actuated by means of a nut and is intended for fixing the aiming device on the articular region of the bone is provided on the bow. A cylindrical guide which in turn bears an adaptor bush so as to permit rotational 20 movement is mounted on the opposite end of the bow. Cylindrical guide and adaptor bush are suitable firstly for guiding a bone screw and secondly for bearing a drill bush having preferably an external thread. A target plate for connection to a bone plate is intended 25 for producing a temporary plug connection with the adaptor bush of the aiming device. Course of the operation 30 Before the operation, the target plate is screwed to a lateral implant (bone plate). By means of the plug connection, the target plate with the lateral implant WO 2005/089660 PCT/IB2004/00044 1 4 is mounted on the adaptor bush of the aiming device. The drill bush is then inserted into the orifice in the cylindrical guide and, passing through the adaptor bush and the target plate, comes into contact with a 5 complementary internal thread in a bore of the implant. Everything is now placed together on the fragmented bone, clamped by the screw spindle of the aiming device and fixed with a proximal bone screw through the implant. With the aid of the aiming device according 10 to the invention, it is therefore possible to determine the point of emergence of the distal, angle-stable screws prior to drilling. When everything is correctly aligned, drilling can be effected through the integrated drill bush. Furthermore, the length of the 15 screw to be used and hence the depth of the hole to be drilled can be determined directly using the aiming device, in particular with reference to the scale mounted on its screw spindle. 20 After removal of the drill bush screwed to the implant, the compression persists via the plug connection between adaptor bush and target plate. This is an important advantage in contrast to the known device. By using the target plate, it is therefore possible, 25 after removal of the drill bush, to screw in the screw while the aiming bow is mounted, i.e. under compression. The removed drill bush now also frees the larger diameter required by the bone screw. The bone screw fits firmly with its head on the same implant 30 thread which the drill bush has previously held. In addition, the alignment of further screws is simplified in that the position of the already inserted screw is wO 2005/089660 PCT/IB2004/000441 5 indicated by the aiming device so that they are inserted in a completely targeted manner parallel to the joint axis and through the best bone of the distal part. When this has been completed, the aiming device 5 and the target plate can be removed. Further developments of the invention are shown in the Figures and indicated in the independent patent claims. 10 The list of reference numerals is part of the disclosure. The invention is explained in more detail schematically and by way of example with reference to figures. 15 The figures are described in relation to one another and as a whole. Identical reference numerals denote identical components, and reference numerals with different indices indicate functionally identical or 20 similar components. Fig. 1 shows an aiming device according to the invention, having a separate drill bush and target plate, in the frontal view, 25 Fig. 2 shows the aiming device according to Fig. 1 with mounted drill bush and target plate, in frontal view, 30 Fig. 3 to 5 show the target plate according to Fig. 1 and 2 alone, in three different views, WO 2005/089660 PCT/IB2004/000441 6 Fig. 6 shows a schematic diagram of the aiming device with mounted drill bush, target plate and implant screwed thereto, as mounted on the humerus, in perspective 5 view, and Fig. 7 shows a schematic diagram of the humerus with implants and bone screws in the frontal plane. 10 Fig. 1 shows an aiming device 100 having a separate drill bush 140 and target plate 200. The target plate 100 consists of a U-shaped bow 110 having various cut outs 112. A screw spindle 130 adjustable by means of a 15 nut 132 is mounted on the lower end of the bow 110. A rotationally movable pin 131 is arranged on one end of the screw spindle 130. A scale 133 is mounted on the screw spindle 130. A cylindrical guide 111 which in turn bears an adaptor bush 120 in a rotationally 20 movable manner is arranged on the upper end of the bow 110. Cylindrical guide 111 and adaptor bush 120 have an internal diameter which is suitable firstly for guiding a bone screw (not shown) and secondly for bearing a drill bush 140. This drill bush 140 is 25 equipped at its end with a drill bush thread 141 which, when an implant (not shown) is used, engages said implant. The adaptor bush 120 is equipped with a snap element which finds its counterpart in a bore 220 of a target plate 200. The target plate 200 is therefore 30 intended for producing a temporary plug connection to the aiming device 100, as shown in Fig. 2.
WO 2005/089660 PCT/IB2004/000441 7 Fig. 2 shows the aiming device 100 with mounted drill bush 140 and target plate 200. The target plate 200 has a plug connection to the adaptor bush 120 described in Fig. 1. The drill bush 140 is inserted into the 5 orifice in the cylindrical guide 111 and, on passing through the adaptor bush and the target plate 200 appears with its drill bush thread 141. Fig. 3 to 5 show the target plate 200 in three 10 different views. Said target plate has a bore 220 for the adaptor bush (not shown) which can thereby produce a plug connection to the target plate 200. Furthermore, three bores 210 for anterior-posterior bone screws are formed, one bore 230 for a target plate 15 screw and three bores 240 for Kirschner wires. Fig. 6 shows a schematic diagram of the aiming device 100 with mounted drill bush 140, target plate 200 and lateral implant 410a screwed thereto, as mounted on the 20 articular block 310 of the humerus 300. The instrument set is therefore mounted as described in Fig. 2, the lateral implant 410a additionally being screwed on the one hand by means of a target plate screw 520 through the bore 230 shown in Fig. 3 to 5 and intended for the 25 target plate screw (not visible) to the target plate 200. On the other hand, a thread (not shown) of the lateral implant 410a engages the drill bush 140, in particular its drill bush thread 141, which passes through the adaptor bush 120. The entire structure is 30 clamped on the articular block 310 of the humerus 300 by the screw spindle 130 actuatable by means of the nut 132 and is anchored in the humerus 300 by means of a WO 2005/089660 PCT/IB2004/00044 1 8 proximal bone screw 510a through the implant 410a. Fig. 7 shows a schematic diagram of the humerus with implants and bone screws in the frontal plane. The 5 lateral implant 410a is fixed by means of proximal 510a, distal 510c and anterior -posterior 510e bone screws. The medial implant 410b is fixed by means of proximal 410b and distal 510d bone screws. In particular, the bone screws 510c and 510d are chosen to 10 be as long as possible without penetrating into the joint and are guided past one another as closely as possible.
WO 2005/089660 PCT/IB2004/000441 9 List of reference numerals 100 - Aiming device 110 - Bow 111 - Cylindrical guide 112 - Cut-out 120 - Adaptor bush or contact element 130 - Screw spindle 131 - Pin 132 - Nut or rotary grip 133 - Scale 140 - Drill bush 141 - Drill bush thread 200 - Target plate 210 - Bore for anterior-posterior bone screw 220 - Bore for adaptor bush 230 - Bore for target plate screw 240 - Bore for Kirschner wire 300 - Bone (humerus) 310 - Articular block (of the humerus) 410 - Implant 410a - Lateral implant 410b - Medial implant 510 - Bone screw 510a - Proximal bone screw (lateral) 510b - Proximal bone screw (medial) 510c - Distal bone screw (lateral) 510d - Distal bone screw (medial) 510e - Anterior-posterior bone screw 520 - Target plate screw 5
Claims (12)
1. Aiming device (100) for drilling a hole in that 5 region of a bone (300) which is in the vicinity of a joint, consisting of a U-shaped bow (110) having at least one contact element (120) at one end of the bow (110) and, at the other end of the bow (110) a screw spindle (130) movable towards the 10 contact element (120) or in the opposite direction and having a rotary grip (132), for clamping the device (100) to the region in the vicinity of the joint, and a drill bush (140), characterized in that the drill bush (140) can be arranged at that 15 end with the contact element (120) and can be removed, the bone compression produced by means of the bow (110) persisting after removal of the drill bush (140) for insertion of the bone screw. 20
2. Device according to Claim 1, characterized in that the contact element is designed as a rotationally movable adaptor bush (120).
3. Device according to either of the preceding 25 Claims, characterized in that the adaptor bush (120) can be caused to form a plug connection with a target plate (120) which can be screwed onto an implant (410). 30
4. Device according to any of the preceding Claims, characterized in that the drill bush (140) can be guided through the adaptor bush (120) and can be WO 2005/089660 PCT/IB2004/000441 11 caused to engage the implant (410).
5. Device according to any of the preceding Claims, characterized in that a scale (133) for 5 determining the length of a bone screw (510) to be inserted into the hole is mounted on the screw spindle (130) or on an element firmly connected to or engaging said screw spindle. 10
6. Device according to any of the preceding Claims, characterized in that that end of the screw spindle (130) which faces the contact element (120) has a rotationally movably mounted, preferably changeable, pin (131) 15
7. Device according to any of the preceding Claims, characterized in that the rotary grip is in the form of a nut (132) mounted on the screw spindle (130). 20
8. Device according to any of the preceding Claims, characterized in that the nut (132) is mounted in a recess of the bow (110). 25
9. Device according to any of the preceding Claims, characterized in that the bow (110) is in the form of a lattice structure or has various cut-outs (112). 30
10. Method for inserting angle-stable, long screws in the articular region of a bone, characterized in that, before the operation, a target plate is WO 2005/089660 PCT/IB2004/00044 1 12 screwed to a lateral implant (bone plate), the targe t plate with the lateral implant is mounted on an adaptor bush of the aiming device by means of a plug connection, a drill bush is then 5 inserted into an orifice in a cylindrical guide, and the drill bush, on passing through the adaptor bush and the target plate, comes into contact with a complementary internal thread in a bore of the implant, whereupon everything is placed together 10 on the fragmented bone and clamped by a screw spindle of the aiming device and fixed through the implant by means of a proximal bone screw, so that the point of emergence of the distal, angle-stable screws can be determined prior to drilling after 15 everything has been correctly aligned, drilling can be effected through the integrated drill bush, it being possible directly to determine the length of the screw to be used and hence the depth of the hole to be drilled, in particular on the basis of 20 a scale mounted on the screw spindle, and thereafter the drill bush is removed and the distal bone screw can be inserted while maintaining the compression of the bone. 25
11. Set, in particular for carrying out the method according to Claim 10, characterized by a U-shaped bow (110) having an adjustable screw spindle (130), a target plate (200) which can be connected thereto, a drill bush (140) and an implant (410) 30 which can be temporarily fixed to the target plate (200) by means of the drill bush (140). WO 2005/089660 PCT/IB2004/00044 1 13
12. Set, according to Claim 11, characterized in that the temporary fixing of the target plate (200) to the implant (410) is effected by means of the drill bush (140) via a thread connection. 5
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/IB2004/000441 WO2005089660A1 (en) | 2004-02-20 | 2004-02-20 | Aiming device for inserting stable-angle, long screws in the articular region of a bone |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| AU2004317395A1 true AU2004317395A1 (en) | 2005-09-29 |
Family
ID=34957062
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2004317395A Abandoned AU2004317395A1 (en) | 2004-02-20 | 2004-02-20 | Aiming device for inserting stable-angle, long screws in the articular region of a bone |
Country Status (11)
| Country | Link |
|---|---|
| US (1) | US8500745B2 (en) |
| EP (1) | EP1718222B1 (en) |
| JP (1) | JP2007522858A (en) |
| CN (1) | CN1917821A (en) |
| AT (1) | ATE448739T1 (en) |
| AU (1) | AU2004317395A1 (en) |
| BR (1) | BRPI0418545A (en) |
| CA (1) | CA2557153C (en) |
| DE (1) | DE502004010405D1 (en) |
| ES (1) | ES2336789T3 (en) |
| WO (1) | WO2005089660A1 (en) |
Cited By (1)
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| CN111671509A (en) * | 2020-04-20 | 2020-09-18 | 杭州市萧山区第一人民医院 | Intra-articular fracture minimally invasive surgery sighting device with resetting function |
Families Citing this family (39)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8118810B2 (en) | 2006-01-17 | 2012-02-21 | Stryker Trauma Gmbh | Targeting device for bone implant |
| EP1808138B1 (en) * | 2006-01-17 | 2014-09-10 | Stryker Trauma GmbH | Medical system and system parts for spatially adjusting an aiming device relative to a body implant |
| US8491593B2 (en) | 2006-01-17 | 2013-07-23 | Stryker Trauma Gmbh | Targeting device for orthopedic implants |
| GB0614428D0 (en) * | 2006-07-20 | 2006-08-30 | Smith & Nephew | Medical device |
| ES2327374B1 (en) * | 2007-09-04 | 2010-08-04 | Veme Medico Quirurgica Sl | INSTRUMENT FOR FIXING SCREWS IN OSTEOPOROTIC BONES. |
| US20110184426A1 (en) * | 2007-09-04 | 2011-07-28 | Garces Martin Gerardo | Device for fixing screws in osteoporotic bones |
| GB2471501B (en) * | 2009-07-01 | 2014-04-09 | Biomet Uk Ltd | a surgical impactor |
| WO2011005205A1 (en) * | 2009-07-10 | 2011-01-13 | Milux Holding S.A. | Hip joint instrument and method |
| AU2010269169B2 (en) * | 2009-07-10 | 2016-03-31 | Implantica Patent Ltd. | Hip joint instrument and method |
| JP2013512042A (en) * | 2009-11-27 | 2013-04-11 | シンセス ゲゼルシャフト ミット ベシュレンクテル ハフツング | Planar fixation concept for distal radius fractures |
| DE102011108673A1 (en) * | 2011-07-22 | 2013-01-24 | Karl Storz Gmbh & Co. Kg | Device for targeting and inserting several drill channels into a bone |
| US8617176B2 (en) * | 2011-08-24 | 2013-12-31 | Depuy Mitek, Llc | Cross pinning guide devices and methods |
| WO2014105750A1 (en) | 2012-12-28 | 2014-07-03 | Paragon 28, Inc. | Alignment guide apparatus, method and system |
| CN103110454B (en) * | 2013-02-20 | 2014-12-10 | 南京医科大学第一附属医院 | Guide device for spinal posterior ray-free screw fixation |
| US9968464B2 (en) | 2014-01-17 | 2018-05-15 | Spine Wave, Inc. | Spinal fusion system |
| US9980760B2 (en) | 2014-11-19 | 2018-05-29 | Paragon 28, Inc. | Step off bone plates, systems, and methods of use |
| US10201358B2 (en) | 2015-04-21 | 2019-02-12 | Acumed Llc | Articulating syndesmosis targeting guide device and method |
| US10327787B2 (en) * | 2015-12-28 | 2019-06-25 | Nuvasive, Inc | Adjustable depth drill guide |
| CN105726136A (en) * | 2016-01-28 | 2016-07-06 | 佛山市乙太医疗用品有限公司 | Elbow joint rotation center guider |
| US20180008286A1 (en) | 2016-07-05 | 2018-01-11 | Mortise Medical, LLC | Noncircular broach and methods of use |
| US10610241B2 (en) | 2016-10-24 | 2020-04-07 | Paragon 28, Inc. | Osteotomy systems, devices and methods |
| US9937055B1 (en) | 2016-11-28 | 2018-04-10 | Spine Wave, Inc. | Scoring implant trial and implant inserter for spinal fusion system |
| WO2018157168A1 (en) * | 2017-02-27 | 2018-08-30 | Paragon 28, Inc. | Intramedullary nail alignment guides, fixation guides, devices, systems, and methods of use |
| EP3585278B1 (en) | 2017-02-27 | 2024-10-23 | Paragon 28, Inc. | Targeting instruments and systems |
| WO2018183875A1 (en) | 2017-03-30 | 2018-10-04 | Paragon 28, Inc. | Bone fixation system, assembly, implants, devices, alignment guides, and methods of use |
| US11033333B2 (en) | 2017-04-06 | 2021-06-15 | Stryker European Holdings I, Llc | Plate selection user interface and design tool with database |
| EP3424452B1 (en) | 2017-06-16 | 2024-03-13 | Stryker European Operations Holdings LLC | Patient-specific bridging plates |
| EP3651699A4 (en) | 2017-07-11 | 2021-05-19 | Paragon 28, Inc. | Bone fixation system, assembly, implants, devices, insertion guides, and methods of use |
| US10888434B2 (en) | 2017-10-05 | 2021-01-12 | Spine Wave, Inc. | Modular scoring trial for anterior cervical cage |
| CN108065993A (en) * | 2017-12-06 | 2018-05-25 | 四川大学华西医院 | Tibia locator capable of adjusting posterior cruciate ligament reconstruction on anatomical force spool extension line |
| CN107961057B (en) * | 2018-01-02 | 2020-02-07 | 吉林大学 | Coracoid clavicle closing and punching sighting device |
| US11051804B2 (en) * | 2018-07-02 | 2021-07-06 | DePuy Synthes Products, Inc. | Orthopedic fixation system and method of use thereof |
| AU2019301165A1 (en) | 2018-07-11 | 2021-03-04 | Paragon 28, Inc. | Implants, alignment guides, systems and methods of use |
| US10849665B2 (en) | 2018-10-29 | 2020-12-01 | Stryker European Operations Holdings Llc | Snap-fit cutting guides and plating systems |
| WO2020168058A1 (en) | 2019-02-13 | 2020-08-20 | Paragon 28, Inc. | Implant, alignment guides, system and methods of use |
| EP3923831A4 (en) | 2019-02-14 | 2022-12-28 | Paragon 28, Inc. | Threaded targeting instruments, systems and methods of use |
| CA3125644A1 (en) * | 2019-03-04 | 2020-09-10 | Wright Medical Technology, Inc. | Apparatuses and methods for correcting bone deformities |
| US20230013727A1 (en) * | 2020-03-02 | 2023-01-19 | Wright Medical Technology, Inc. | Targeting guides |
| CN114042233B (en) * | 2021-12-06 | 2024-05-17 | 首都医科大学附属北京天坛医院 | Ventricle bypass system |
Family Cites Families (24)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3674375A (en) * | 1971-04-07 | 1972-07-04 | United Tool Processes Corp | Valve-guide coring tool |
| US3867932A (en) * | 1974-01-18 | 1975-02-25 | Donald R Huene | Assembly for inserting rigid shafts into fractured bones |
| US4159716A (en) * | 1977-10-17 | 1979-07-03 | Borchers Clinton H | Method of compressing and realigning bone structures to correct splay foot |
| US4235428A (en) * | 1979-03-15 | 1980-11-25 | Davis Jack H | Bone transfixation pin guide |
| US4364381A (en) * | 1980-01-31 | 1982-12-21 | Sher Jay H | Surgical clamp and drill-guiding instrument |
| US4465065A (en) * | 1983-01-07 | 1984-08-14 | Yechiel Gotfried | Surgical device for connection of fractured bones |
| US4997434A (en) * | 1983-02-16 | 1991-03-05 | Seedhom Bahaa B | Prosthetic ligaments and instruments for use in the surgical replacement of ligaments |
| EP0132284B1 (en) | 1983-06-24 | 1988-04-20 | Queen's University At Kingston | Apparatus for locating an elbow prothesis |
| DE8417428U1 (en) * | 1984-06-08 | 1984-09-13 | Howmedica International, Inc. Zweigniederlassung Kiel, 2300 Kiel | Target device |
| US4710075A (en) * | 1986-10-01 | 1987-12-01 | Boehringer Mannheim Corporation | Adjustable drill gauge |
| US4848327A (en) * | 1988-05-23 | 1989-07-18 | Perdue Kevin D | Apparatus and procedure for blind alignment of fasteners extended through transverse holes in an orthopedic locking nail |
| US5133720A (en) * | 1990-07-13 | 1992-07-28 | Greenberg Alex M | Surgical drill guide and retractor |
| US5152764A (en) * | 1992-05-18 | 1992-10-06 | Marlowe Goble E | Femoral tunnel entry drill guide |
| US5254079A (en) * | 1992-07-29 | 1993-10-19 | Codman & Shurtleff, Inc. | Head clamp |
| US5713117A (en) * | 1996-07-22 | 1998-02-03 | Bliss; John C. | Bushing pusher |
| US5893553A (en) * | 1997-10-17 | 1999-04-13 | Pinkous; Stephen L. | Portable C-clamp with non-rotatable clamping pad means |
| DE29819914U1 (en) * | 1998-11-07 | 1999-01-07 | Aesculap AG & Co. KG, 78532 Tuttlingen | Endoscopic insertion instruments |
| US6368342B1 (en) * | 2000-07-27 | 2002-04-09 | Haifa Surgical Instruments Ltd. | Strernum closure device and pincers for mounting staples and approximator brackets |
| US6663637B2 (en) * | 2001-01-02 | 2003-12-16 | Robert A Dixon | Vertebral distraction stabilizer |
| FR2826859B1 (en) * | 2001-07-09 | 2003-09-19 | Tornier Sa | ANCILLARY OF LAYING OF A HUMERAL COMPONENT OF ELBOW PROSTHESIS |
| EP1455662B1 (en) | 2001-11-13 | 2009-12-02 | Tantum AG | Targeting device for a fracture pin |
| DE20204126U1 (en) * | 2002-03-15 | 2003-07-24 | stryker Trauma GmbH, 24232 Schönkirchen | Aiming device for locking nails |
| ES2244693T3 (en) | 2002-04-18 | 2005-12-16 | Zimmer Gmbh | BONE FIXING SYSTEM. |
| AU2003294342A1 (en) * | 2002-11-19 | 2004-06-15 | Acumed Llc | Guide system for bone-repair devices |
-
2004
- 2004-02-20 AT AT04713134T patent/ATE448739T1/en active
- 2004-02-20 BR BRPI0418545-5A patent/BRPI0418545A/en not_active IP Right Cessation
- 2004-02-20 EP EP04713134A patent/EP1718222B1/en not_active Expired - Lifetime
- 2004-02-20 DE DE502004010405T patent/DE502004010405D1/en not_active Expired - Lifetime
- 2004-02-20 US US10/590,044 patent/US8500745B2/en not_active Expired - Fee Related
- 2004-02-20 AU AU2004317395A patent/AU2004317395A1/en not_active Abandoned
- 2004-02-20 ES ES04713134T patent/ES2336789T3/en not_active Expired - Lifetime
- 2004-02-20 CA CA2557153A patent/CA2557153C/en not_active Expired - Fee Related
- 2004-02-20 WO PCT/IB2004/000441 patent/WO2005089660A1/en active Application Filing
- 2004-02-20 JP JP2006553691A patent/JP2007522858A/en not_active Withdrawn
- 2004-02-20 CN CNA2004800418430A patent/CN1917821A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111671509A (en) * | 2020-04-20 | 2020-09-18 | 杭州市萧山区第一人民医院 | Intra-articular fracture minimally invasive surgery sighting device with resetting function |
| CN111671509B (en) * | 2020-04-20 | 2022-08-23 | 杭州市萧山区第一人民医院 | Intra-articular fracture minimally invasive surgery sighting device with resetting function |
Also Published As
| Publication number | Publication date |
|---|---|
| ES2336789T3 (en) | 2010-04-16 |
| CA2557153C (en) | 2011-11-22 |
| US20070239168A1 (en) | 2007-10-11 |
| EP1718222A1 (en) | 2006-11-08 |
| EP1718222B1 (en) | 2009-11-18 |
| DE502004010405D1 (en) | 2009-12-31 |
| ATE448739T1 (en) | 2009-12-15 |
| CN1917821A (en) | 2007-02-21 |
| CA2557153A1 (en) | 2005-09-29 |
| WO2005089660A1 (en) | 2005-09-29 |
| JP2007522858A (en) | 2007-08-16 |
| US8500745B2 (en) | 2013-08-06 |
| BRPI0418545A (en) | 2007-05-22 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| MK4 | Application lapsed section 142(2)(d) - no continuation fee paid for the application |